| NPI | 1306271093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI PSY-1433) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020268) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2022-12-30 |